Stephen Samuel Haverly, | |
1010 Three Springs Blvd, Durango, CO 81301-8296 | |
(303) 306-7783 | |
(303) 306-7753 |
Full Name | Stephen Samuel Haverly |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1010 Three Springs Blvd, Durango, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114034550 | NPI | - | NPPES |
33457271 | Medicaid | CO | |
P00678278 | Other | CO | PAILROAD MEDICARE PIN |
77988230 | Medicaid | NM | |
00A775570 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 42845 (Colorado) | Primary |
207P00000X | Emergency Medicine | A77557 (California) | Secondary |
Entity Name | Usacs Of Colorado Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760415871 PECOS PAC ID: 4981507571 Enrollment ID: O20040130000439 |
Mailing Address | Practice Location Address |
---|---|
Stephen Samuel Haverly, Po Box 17752, Denver, CO 80217-0752 Ph: (303) 306-7783 | Stephen Samuel Haverly, 1010 Three Springs Blvd, Durango, CO 81301-8296 Ph: (303) 306-7783 |
Charles Eaton Page, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 303-306-7783 Fax: 303-306-7753 | |
Dr. Daniel Seth Caplin, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 72 Suttle St Unit M, Durango, CO 81303 Phone: 970-828-3030 Fax: 970-247-0221 | |
Dr. Mark Wesley Turpen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Prospector Ave, Durango, CO 81301 Phone: 970-759-6454 | |
Randal Ford Jernigan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-764-2100 | |
John William Cartier Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2577 Main Ave, Durango, CO 81301 Phone: 970-247-8283 Fax: 970-259-4403 | |
Dr. Andrew James Wagner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-247-4311 |